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#5298 of 11K

V2113

HCPCS Procedure Code

HCPCS code V2113 is the #5,298 most-billed Medicaid procedure code, with $238K in payments across 23K claims from 2018–2024. The national median cost per claim is $12.57. Costs vary widely — the 90th percentile is $34.41 per claim, 2.7× the median.

Total Paid

$238K

0.00% of all spending

Total Claims

23K

Providers

16

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for V2113? Based on 15 providers billing this code nationally.

Median

$12.57

Average

$17.38

Std Dev

$14.92

Max

$61.05

Percentile Distribution (Cost per Claim)

p10
$6.37
p25
$9.34
Median
$12.57
p75
$15.75
p90
$34.41
p95
$45.87
p99
$58.01

50% of providers bill between $9.34 and $15.75 per claim for this code.

90% bill between $6.37 and $34.41.

Top 1% bill above $58.01.

About This Procedure

HCPCS code V2113 was billed by 16 providers across 23K claims, totaling $238K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.57

Providers Billing

15

National Spending

$238K

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2113

#ProviderTotal Paid
11780896332$97K
2Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$40K
31649487729$35K
41588871669$20K
51376576777$20K
61518598952$12K
71326351925$5K
81699968073$4K
91417156589$2K
101174011209$1K
111104868520$324
121154597631$193
131194192070$163
141043527690$144
151174630677$77
161457547366$0

Showing top 16 of 16 providers billing this code